ATI Maternal Newborn 2023 | Nurselytic

Questions 49

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ATI Maternal Newborn 2023 Questions

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.


Question 1 of 5

Which of the following symptoms would support this diagnosis?

Correct Answer: D

Rationale: Painless red vaginal bleeding is a classic symptom of placenta previa, where the placenta covers the cervix, typically occurring in the third trimester.

Extract:

A patient's lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L.


Question 2 of 5

What actions should be taken?

Correct Answer: C

Rationale: The bilirubin level of 20 mg/dL is significantly elevated (normal is 0.1-1.2 mg/dL), suggesting liver dysfunction or hemolysis, which requires further investigation. Reviewing daily logs helps monitor trends, but the provider should be notified of the bilirubin level.

Extract:

50 grams of Magnesium sulfate is added to 1L of Lactated Ringers. After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr.


Question 3 of 5

What rate should the IV pump be set at?

Correct Answer: D

Rationale: Concentration: 50 g/1000 mL = 0.05 g/mL = 50 mg/mL. For 2 g/hr (2000 mg/hr): 2000 mg/hr ÷ 50 mg/mL = 40 mL/hr.

Extract:

A patient is in preterm labor at 30 weeks gestation. Her OB orders antenatal steroids. The order is for the nurse to administer betamethasone IM and to repeat the dose after 2 hours. Betamethasone is available as 4mg/mL in 10 mL vials.


Question 4 of 5

How many mL will the nurse draw up in the syringe for each dose?

Correct Answer: D

Rationale: Standard betamethasone dose for preterm labor is 12 mg. 12 mg ÷ 4 mg/mL = 3 mL per dose.

Extract:

Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.


Question 5 of 5

How many mLs should be drawn up?

Correct Answer: A

Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.

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